Claims Specialist Jobs in Irvine, CA

Lead critical clinical strategies and ensure regulatory compliance while collaborating across teams to uphold data integrity and support product development initiatives in a dynamic environment...

Contribute to operational excellence in patient services by supporting daily operations, facilitating workflows, and enhancing technology integration to optimize patient experiences and program perfor...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Engage with clients to ensure operational excellence and success in billing processes. Lead strategic planning for multiple medical billing teams while maintaining performance, building relationships...

Partner with us to support patients by navigating complex access and reimbursement challenges for rare diseases. This remote role requires collaboration with cross-functional teams to ensure effective...

Take ownership of daily accounting operations, enhancing processes and team collaboration in a dynamic, multi-entity environment while supporting growth and modernization initiatives to improve overal...

Lead project teams in managing global clinical trials, ensuring compliance with protocols and deliverables, while supervising resources and maintaining communication with sponsors to achieve project m...

Champion impactful legal strategies while leading litigation initiatives, fostering collaboration, and ensuring effective resolution of disputes within a dynamic organization...

Join a dynamic team as you design, code, and enhance software solutions, lead agile projects, mentor junior engineers, and deliver high-quality systems that meet business needs and user expectations...

Join a team that's transforming healthcare by telephonically managing cases to enhance patient wellness, implementing personalized care strategies, and advocating for optimal outcomes while ensuring e...

Develop client relationships while managing accounts and ensuring retention. Coordinate customer service activities and resolve complex issues, driving efficiency and delivering exceptional service in...

Accelerate progress at providing exceptional disability management services, guiding employees through the accommodation process while ensuring compliance with ADA/FEHA regulations and developing indi...

Lead and manage the Commercial Underwriting team, driving process improvements and stakeholder relationships while providing operations leadership and enhancing underwriting practices for various Mobi...

Pioneer excellence in accounts receivable operations, fostering collaboration between finance teams, ensuring accurate cash postings, and resolving billing inquiries while meeting stringent deadlines...

Drive profit and growth by leading Surety underwriting activities in an assigned territory. Enhance marketing efforts, optimize workflows, and cultivate strong producer relationships to achieve divisi...

Manage a profitable inland marine portfolio by underwriting risks, fostering broker relations, and ensuring timely policy servicing while focusing on growth and retention. Drive performance monitoring...

Optimize client and fund operations through timely and accurate accounting. Lead the workflow in compliance with policies, addressing client requests, and managing project implementation effectively w...

Oversee daily operations in multiple lab sections, ensuring quality control compliance and staff training. Utilize computer systems to manage workflow efficiently and communicate effectively with heal...

Lead the delivery of absence and disability management for mid-market clients. Ensure high-quality service, manage client relationships, oversee vendor performance, and innovate processes to enhance e...

Manage ADML delivery for mid-market clients, ensuring high-quality service and client satisfaction. Lead project design and execution while overseeing vendor relationships and guiding junior consultan...

Elevate your career by leading complex Medicaid pharmacy claims initiatives. Collaborate with diverse teams to drive requirements, enhance processes, and ensure compliance in impactful system solution...

Lead the evolution of reinsurance pricing strategies and actuarial models, driving innovation and technical excellence. Engage with senior leadership to communicate analytical insights clearly and sha...

Transform client benefits management by leading strategic design, execution, and compliance of large-scale benefit plans. Develop industry insights and foster strong partnerships to enhance organizati...

Discover innovative solutions in Revenue Cycle Management, driving process optimization and enhancing workflows within Military Health Systems. Lead initiatives that improve health informatics and col...

Shape the future of procurement by overseeing supplier relations, driving efficiencies, and managing sourcing strategies to ensure optimal materials availability and quality. Collaborate with cross-fu...